Dr.R.Gnanasambandam

Introduction

           Vocal Cord nodules are very common ailment, which requires confidence in treatment. Here Dr.R.Gnanasambandam presents one a simple case history on vocal cord nodule from his case file.

           A twenty-nine years old Lady, Personal Secretary to a Psychiatrist at Bangalore consulted me for loss of voice since four months. Initially she had croupy cough with hoarseness of voice. She tried some antibiotics but loss of voice was progressive. Ultimately she was guided to a ENT specialist and suspected pathological vegetations. She was referred to an endocopist. Laryngoscopy revealed vocal card nodule on the right side.

           Her family members do not want take the risk of using a knife on her voice box. Naturally Homoeopathy was the choice for them among the other alternative systems.

She presented the following details regarding her case history
l Pain and Hoarseness of throat < morning

• Headache <stooping, Sun Exposure
• Micturation-Burning and scalds during
• Fair, tall, thin and well built.
• Sweats on the forehead and Armpits, offensive and stains the clothes with yellow colour
• Mental and intellectual state of mind is sad , can not cope up the ups and downs; very sensitive, easily offended, hasty and highly impulsive
• Her mother had warty growths around neck
• Father is a Diabetic and Hypertensive

           She placed her investigation report on my table which was taken on 14-4-2000. It gave the impression that
“A small nodule is noted on the right vocal cord. Movements of the both cords are normal. A small phonatory gap was seen” “Refer back wrapper”

First prescription        22-4-2000

The physical and mental make up of the patient; side affinity and sphere of action ultimately dragged my mind to think causticum as my choice of the remedy.I prepared high potency as the state of the disease is chronic with low susceptibility.

Rx    Causticum 1m 6 doses on empty stomach for six days
        Followed with placebo for fifteen days.

Follow up 1                  15-5-2000

Pain ++
Croupy cough

Rx    Causticum 1m 6 doses on empty stomach for six days
        Followed with placebo for fifteen days

Follow up 2                  5-6-2000

Loss of Voice < after eating

Rx   Causticum 1m 6 doses on empty stomach for six days
       Followed with placebo for fifteen days.

Follow up 3                  23-6-2000

Voice better
Headache on right side < grief

Rx   Causticum 1m 6 doses on empty stomach for six days
       Followed with placebo for fifteen days

           In between she skipped the treatment for sometime and again consulted with moderated change in voice. After few months she came in with a smile and placed the report on my table. The laringoscopy which was taken on 12-3-2001 gave the impression that

           “The previously noted small right nodule is hardly visible now. Both Cords are mobile”. “Refer back wrapper”
She was very happy and continued the same medication for three months and then discontinued.

Conclusion

           Causticum is a well-proved trio miasmatic polycrest drug and its clinical efficacy is well proved in many pathological vegetations and neurological affections.

Dr.R.Gnanasambandam, M.D (hom) #,6 Lloyds IInd Lane Royapettah Chennai -600 014 Ph : 044-28113300 EML:gnanas@vsnl.com